Provider Demographics
NPI:1174655518
Name:MYERS, FOSTER D III (RPH)
Entity Type:Individual
Prefix:MR
First Name:FOSTER
Middle Name:D
Last Name:MYERS
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 CROW HILL RD
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-9379
Mailing Address - Country:US
Mailing Address - Phone:315-426-6838
Mailing Address - Fax:315-426-6801
Practice Address - Street 1:625 MADISON ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-426-6836
Practice Address - Fax:315-426-6801
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0445551835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric